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US death rates from suicide, overdoses in alcohol and drugs reaches high



Suicide deaths, drug doses and alcohol have reached full-time in the US, but some states have been hit much harder than others, according to a report released Wednesday by the Commonwealth Fund.

The report reviewed data in all 50 states and Washington, DC, with an in-depth look at 47 factors that affect health problems, including insurance coverage, access to doctors, obesity, smoking, smooth tooth loss and ultimately assign each enter a score. The data is from 2017.

Although the tax rates for the so-called death losses arise at national level, the report's investigators were particularly affected by regional differences in prices.

"When we look at what happens in the middle -Atlantic states – West Virginia, Ohio, Pennsylvania – these are the states with the highest levels of drug overdose with deaths in the country," said David Radley, senior researcher for the Commonwealth Fund. In those states, at least twice the national average for fatal accidents for overdose

West Virginia had the highest drug dosage with drug doses, mainly driven by the opioid epidemic, and these rates increased by 450 percent from 2005 to 2017, the report reported.

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Opioid and Drug Crisis in America

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Discarded needles are seen on a heroin battle in the Kensington area of ​​Philadelphia, Pennsylvania, April 7, 2017.
In northern Philadelphia, the railway floor, as it is known, is basically zero in Philadelphia's opioid epidemic. Known by the locals as El Campanento, the open market for the pharmaceutical market and the heroin campaign is built with the discarded materials of the gulch and populated by addicts seeking a kind of heroin to keep their drug disorder or symptoms in bay. In one area, near the 2nd Avenue transition, empty syringe wrappers felt the garbage as grass
The used needles, which they once contained, passed through thistles.

/ AFP PHOTO / DOMINICK REUTER (Photo Credit to Read DOMINICK REUTER / AFP / Getty Images)

NEW YORK, NY – JUNE 07: "Surfer" shoots heroin in a park in the South Bronx on June 7, 2017 in New York City. Like Staten Island, parts of the Bronx experience an epidemic in drug use, especially heroin and other opioid-based drugs. More than 1,300 New Yorkers died of overdoses in 2016, the majority of these deaths involving opioids. Mott Haven-Hunts Point area in the Bronx borough of New York is currently leading the city in the death of heroin overdose. According to the Deputy Attorney General, drug overdose is now the leading cause of death for Americans over the age of 50. (Photo by Spencer Platt / Getty Images)

NEW YORK, NY – JUNE 07: A man leaning against the wall seems to be under the influence of drugs on a street in the South Bronx on June 7, 2017 in New York City. Like Staten Island, parts of the Bronx experience an epidemic in drug use, especially heroin and other opioid-based drugs. More than 1,300 New Yorkers died of overdoses in 2016, the majority of these deaths involving opioids. Mott Haven-Hunts Point area in the Bronx borough of New York is currently leading the city in the death of heroin overdose. According to the Vice Attorney, drug dosing is now the leading cause of death for Americans over the age of 50. (Photo by Spencer Platt / Getty Images)

WASHINGTON, DC – SEPTEMBER 18: Family members of those who died of Opioid doses go up in "Fed Up!" rally to end the opioid epidemic at the National Mall on September 18, 2016 in Washington, DC. Activists and family members gathered at the National Mall to march to the Capitol Building. About 30,000 people die each year due to heroin and painkillers. Speakers demanded that Congress give $ 1.1 billion to the Comprehensive Monitoring and Recovery Act, which Congress passed in July without funding. (Photo by John Moore / Getty Images)

NEW YORK, NY – JUNE 07: A man rests against a wall that appears to be influenced by drugs on a street in the South Bronx on June 7, 2017 in New York City. Like Staten Island, parts of the Bronx experience an epidemic in drug use, especially heroin and other opioid-based drugs. More than 1,300 New Yorkers died of overdoses in 2016, the majority of these deaths involving opioids. Mott Haven-Hunts Point area in the Bronx borough of New York is currently leading the city in the death of heroin overdose. According to the Deputy Attorney General, drug overdose is now the leading cause of death for Americans over the age of 50. (Photo by Spencer Platt / Getty Images)

NEW YORK, NY – JUNE 07: Brian smokes a synthetic drug called K2 on the street in the South Bronx on June 7, 2017 in New York City. Like Staten Island, parts of the Bronx experience an epidemic in drug use, especially heroin and other opioid-based drugs. More than 1,300 New Yorkers died of overdoses in 2016, the majority of these deaths involving opioids. Mott Haven-Hunts Point area in the Bronx borough of New York is currently leading the city in the death of heroin overdose. According to the Deputy Attorney General, drug overdose is now the leading cause of death for Americans over the age of 50. (Photo by Spencer Platt / Getty Images)

NEW YORK, NY – JUNE 07: "Surfer" shoots heroin in a park in the South Bronx on June 7, 2017 in New York City. Like Staten Island, parts of the Bronx experience an epidemic in drug use, especially heroin and other opioid-based drugs. More than 1,300 New Yorkers died of overdoses in 2016, the majority of these deaths involving opioids. Mott Haven-Hunts Point area in the Bronx borough of New York is currently leading the city in the death of heroin overdose. According to the Deputy Attorney General, drug overdose is now the leading cause of death for Americans over the age of 50. (Photo by Spencer Platt / Getty Images)

WASHINGTON, DC – SEPTEMBER 18: Activists and family members of loved ones who died in the opioid / heroine epidemic participate in a "Fed Up!" rally at Capitol Hill on September 18, 2016 in Washington, DC. Protesters urged the lawmakers to provide funding for the Comprehensive Addiction and Recovery Act, which Congress held in July without funding. Some 30,000 Americans die each year due to heroin and painkillers in the United States. (Photo by John Moore / Getty Images)

Police Detective Quincy Massachusetts Lt. Patrick Glynn holds a nasal injection containing the overdose-reversing drug naloxone at the police headquarters in Quincy, Massachusetts on June 13, 2014. Quincy, Massachusetts, 2010 became the first US city to make drug standard equipment for its police officers, who have used it to reverse 275 overdoses , a significant number in a city of 93,000 people. Police forces nationwide are beginning to follow. The state program has now moved far beyond the police and is training about 25 747 people in Massachusetts to recognize signs of opioid drug overdoses and administer naloxone. June 13, 2014. REUTERS / Gretchen Ertl (USA: Labels: SOCIETY SAFETY)

A woman suspected of acting under the influence of the heroine shows weapons to the police on April 19, 2017 in Huntington, West Virginia.
Huntington, the city in the northwest corner of West Virginia, bordering Kentucky, has been depicted as the epicenter of the opioid crisis. On August 15, 2016, from 3:00 pm to 9:00 pm, 28 people in the city switched to heroin laced with fentanyl, a synthetic opioid that is much more potent and more dangerous than heroin. The financial incentives are powerful: One kilogram of fentanyl costs $ 5,000, which can make one million tablets sold at $ 20 each for a $ 20 million profit. "This epidemic does not discriminate," Huntington Mayor Steve Williams said. "Our youngest overdose was 12 years old. The oldest was 77. & # 39;
/ AFP PHOTO / Brendan Smialowski / JOIN THE AFP STORY by Heather SCOTT, US Health Drug WestVirginia (Photo Credit to read BRENDAN SMIALOWSKI / AFP / Getty Images)

Accessories for Smoking and Injection of Drugs are seen after being found under a police search on April 19, 2017 in Huntington, West Virginia.
Huntington, the city in the northwest corner of West Virginia, bordering Kentucky, has been depicted as the epicenter of the opioid crisis. On August 15, 2016, from 3:00 pm to 9:00 pm, 28 people in the city switched to heroin laced with fentanyl, a synthetic opioid that is much more potent and more dangerous than heroin. The financial incentives are powerful: One kilogram of fentanyl costs $ 5,000, which can make one million tablets sold at $ 20 each for a $ 20 million profit. "This epidemic does not discriminate," Huntington Mayor Steve Williams said. "Our youngest overdose was 12 years old. The oldest was 77. & # 39;
/ AFP PHOTO / Brendan Smialowski / JOIN THE AFP STORY by Heather SCOTT, US Health Drug WestVirginia (Photo Credit should read BRENDAN SMIALOWSKI / AFP / Getty Images)

Smoking and Injection Accessories are seen when found during a police search on April 19, 2017, in Huntington, West Virginia.
Huntington, the city in the northwest corner of West Virginia, bordering Kentucky, has been depicted as the epicenter of the opioid crisis. On August 15, 2016, from 3:00 pm to 9:00 pm, 28 people in the city switched to heroin laced with fentanyl, a synthetic opioid that is much more potent and more dangerous than heroin. The financial incentives are powerful: One kilogram of fentanyl costs $ 5,000, which can make one million tablets sold at $ 20 each for a $ 20 million profit. "This epidemic does not discriminate," Huntington Mayor Steve Williams said. "Our youngest overdose was 12 years old. The oldest was 77. & # 39;
/ AFP PHOTO / Brendan Smialowski / JOIN THE AFP STORY by Heather SCOTT, US Health Drug WestVirginia (Photo Credit to Read BRENDAN SMIALOWSKI / AFP / Getty Images)

Dosage agent for drug injection is seen after being found during a Polis boost April 19, 2017 in Huntington, West Virginia.
Huntington, the city in the northwest corner of West Virginia, bordering Kentucky, has been depicted as the epicenter of the opioid crisis. On August 15, 2016, from 3:00 pm to 9:00 pm, 28 people in the city switched to heroin laced with fentanyl, a synthetic opioid that is much more potent and more dangerous than heroin. The financial incentives are powerful: One kilogram of fentanyl costs $ 5,000, which can make one million tablets sold at $ 20 each for a $ 20 million profit. "This epidemic does not discriminate," Huntington Mayor Steve Williams said. "Our youngest overdose was 12 years old. The oldest was 77. & # 39;
/ AFP PHOTO / Brendan Smialowski / JOIN AFP STORY by Heather SCOTT, US Health Drug WestVirginia (Photo Credit to read BRENDAN SMIALOWSKI / AFP / Getty Images)

Jessica, a homeless heroin addict, shows her kit of clean needles, mixing cap and tourniquet in the Kensington area of ​​Philadelphia, Pennsylvania, April 14, 2017.

In northern Philadelphia, the railway floor as it is known is zero in Philadelphia's opioid epidemic. 80 percent of us want to go out, says Jessica, before explaining the many ways she has tried to get treatment for her abuse. In one case, she said, there were no beds available. In another, a treatment provider demanded a positive drug test before she provided assistance, which means that if she had not used it before, she would be denied. Instead of getting treatment, she spends the nights and tries to stay warm on a mattress under a bridge, where she was raped and infected with HIV. People come from all over the city and some as far away as the Midwest, for heroin that is remarkably cheap and clean on the largest heroin market on the east coast. / AFP PHOTO / DOMINICK REUTER (Photo Credit to read DOMINICK REUTER / AFP / Getty Images)

Drug products and other junk waste a vacant house on April 19, 2017 in Huntington, West Virginia.
Huntington, the city in the northwest corner of West Virginia, bordering Kentucky, has been depicted as the epicenter of the opioid crisis. On August 15, 2016, from 3:00 pm to 9:00 pm, 28 people in the city switched to heroin laced with fentanyl, a synthetic opioid that is much more potent and more dangerous than heroin. The financial incentives are powerful: One kilogram of fentanyl costs $ 5,000, which can make one million tablets sold at $ 20 each for a $ 20 million profit. "This epidemic does not discriminate," Huntington Mayor Steve Williams said. "Our youngest overdose was 12 years old. The oldest was 77. & # 39;
/ AFP PHOTO / Brendan Smialowski / JOIN THE AFP STORY by Heather SCOTT, US Health Drug WestVirginia (Photo Credit to read BRENDAN SMIALOWSKI / AFP / Getty Images)

A man injects himself into the foot with heroin near a heroin campaign in Kensington in Philadelphia, Pennsylvania, April 14, 2017.

In northern Philadelphia, the railway floor as it is known is zero in Philadelphia's opioid epidemic. At the camp and throughout the nearby area, a user can buy a bag
of high quality heroin at a low price and even pay to get another person to inject
them if for some reason they cannot inject themselves. For several individuals, the addiction process was a slow one that began with a doctor's prescription for painkillers after an accident or surgery, and when the drug was completed, an addiction was born. After seeking black-pill pills to feed their addiction, the simple economy of heroin won: the price of a single pill could get anywhere between 2 and 10 bags of heroin, a saving that is difficult to ignore when an insurance company is no longer underwriting cost.

/ AFP PHOTO / DOMINICK REUTER (Photo Credit to Read DOMINICK REUTER / AFP / Getty Images)

WASHINGTON, DC – SEPTEMBER 18: Michael Botticelli, US National Drug Control Policy Director, speaks at "Fed Up!" rally to end the opioid epidemic on September 18, 2016 in Washington, DC. Activists and family members of people who have died in the opioid and heroin epidemic gathered at the National Mall to march to the Capitol Building. About 30,000 people die each year due to heroin and painkillers. Speakers demanded that Congress give $ 1.1 billion to the Comprehensive Monitoring and Recovery Act, which Congress passed in July without funding. (Photo by John Moore / Getty Images)

A man uses a syringe to collect the last drops from a scavenged water bottle to mix up a shot of heroin near a heroin camp in the Kensington neighborhood in Philadelphia, Pennsylvania, April 14 , 2017.

In northern Philadelphia, the railway floor, as it is known, is basically zero in Philadelphia's opioid epidemic. The tracks and the surrounding property are owned and operated by Consolidated Rail Corporation, a joint subsidiary of Norfolk Southern and CSX. People come from all over the city and some as far away as the Midwest, for heroin that is remarkably cheap and clean on the largest heroin market on the east coast. According to the City of Health Commission, Philadelphia is on track to see 33 percent more drug overdose deaths in 2017 compared to last year.

/ AFP PHOTO / DOMINICK REUTER (Photo Credit to Read DOMINICK REUTER / AFP / Getty Images)

A police officer in Philadelphia patrols under a bridge near a heroin camp in the Kensington area of ​​Philadelphia, Pennsylvania, April 14, 2017.

In northern Philadelphia, the railway floor is, as it is known, land zero in Philadelphia's opioid epidemic. The tracks and the surrounding property are owned and operated by Consolidated Rail Corporation, a joint subsidiary of Norfolk Southern and CSX. Last month, Philadelphia Mayor Jim Kenney announced quotes to Consolidated Rail Corporation for what the mayor said in a release was Conrail's failure to clean and secure his own property. Visitors and homeless residents of the yellow say that the trash is not their fault and that they are only there because they have no other place to go. According to the City of Health Commission, Philadelphia is on track to see 33 percent more drug overdose deaths in 2017 compared to last year.
/ AFP PHOTO / DOMINICK REUTER (Photo Credit to Read DOMINICK REUTER / AFP / Getty Images)

SANFORD, ME – FEBRUARY 16: Milo Chernin, who lost his son Sam to a heroin overdose on January 16, 2017, looks at pictures of her home in Sanford. She says that Sam, who died at the age of 25, struggled with her addiction and could not stay away from heroin even though he received treatment. (Photo by Derek Davis / Portland Press Herald via Getty Images)

WASHINGTON, DC – SEPTEMBER 18: Activists and family members of loved ones who died in the opioid / heroine epidemic participate in a "Fed Up!" rally at Capitol Hill on September 18, 2016 in Washington, DC. Protesters urged the lawmakers to provide funding for the Comprehensive Addiction and Recovery Act, which Congress held in July without funding. Some 30,000 Americans die each year due to heroin and painkillers in the United States. (Photo by John Moore / Getty Images)

GROTON, CT – MARCH 23: A box of opioid antidote Naloxone, also known as Narcan, sits on the screen during a family dependency group on March 23, 2016 in Groton, CT. The drug is used to revive people suffering from heroin overdose. The Communities Speak Out group organizes monthly meetings in a public library for family members to talk about how their close associates affect them and to give each other emotional support. Communities nationwide struggle with the unforeseen heroin and opioid pimple epidemic. On March 15, the United States Center for Disease Control (CDC) announced guidelines for doctors to reduce the amount of opioid analgesics prescribed nationwide to combat the epidemic. The CDC estimates that most new heroin addicts first became affiliated with prescription painkillers before graduating for heroin, which is stronger and cheaper. (Photo by John Moore / Getty Images)

NEW LONDON, CT – MARCH 23: A heroin user injects himself on March 23, 2016 in New London, CT. Society throughout New England and nationwide struggling with the undiscovered heroin and opioid pimple epidemic. On March 15, the United States Center for Disease Control (CDC) announced guidelines for doctors to reduce the amount of opioid analgesics prescribed nationwide to combat the epidemic. The CDC estimates that most new heroin addicts first became affiliated with prescription painkillers before graduating for heroin, which is stronger and cheaper. (Photo by John Moore / Getty Images)

GROTON, CT – MARCH 23: Family members of heroin dependent and opioid analgesic pills share stories during a support group on March 23, 2016 in Groton, CT. The Communities Speak Out group organizes monthly meetings in a public library for family members to talk about how their close associates affect them and to give each other emotional support. Communities nationwide struggle with the unforeseen heroin and opioid pimple epidemic. On March 15, the United States Center for Disease Control (CDC) announced guidelines for doctors to reduce the amount of opioid analgesics prescribed nationwide to combat the epidemic. The CDC estimates that most new heroin addicts first became affiliated with prescription painkillers before graduating for heroin, which is stronger and cheaper. (Photo by John Moore / Getty Images)

NEW LONDON, CT – MARCH 14: Jackson, 27, who says he is addicted to prescription drugs, was released in a public library on March 14, 2016 in New London, CT. The police say that an increased number of suburban diseases enter the city to buy heroin, which is much cheaper than opioid painkillers. On March 15, US Disease Control Centers (CDCs) announced guidelines for doctors to reduce the amount of opioid painkillers prescribed nationwide. The CDC estimates that most new heroin addicts first became affiliated with prescription painkillers before graduating for heroin, which is stronger and cheaper. (Photo by John Moore / Getty Images)

ST. JOHNSBURY, VT – FEBRUARY 06: "Buck", 23 and addicted to heroin, launches Suboxone, a maintenance drug for opioid addiction that is also highly addictive on February 6, 2014 in St. Johnsbury, Vermont. Vermont Governor Peter Shumlin recently devoted his entire state's state speech to the heroin's plague. Heroin and other opiates have begun to destroy many communities in the Northeast and the Midwest, leading to an increase in lethal overdoses in a number of states. As prescription painkillers, such as synthetic opiate OxyContin, are becoming more expensive and regulated, more and more Americans are growing into heroin to fight pain or to become high. Heroin, who has experienced an increase in production in places like Afghanistan and parts of Central America, has a relatively cheap street price and gives a stronger impact on the user.




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"The growth rate of drug-dosed deaths in West Virginia is completely exaggerated," Radley told NBC News.

It is not just prescription painkillers and heroin that drives these death rates. The study authors also point to fentanyl and other potent synthetic opioids that crawl into illegal drugs such as cocaine. Fentanylis is similar to morphine, but 50 to 100 times more potent, according to the National Institute on Drug Abuse.

After West Virginia, the District of Columbia, Kentucky, Delaware and New Hampshire had the next death toll on land-based deaths, according to the report.

Deaths from suicide and alcohol also showed regional differences. People died at higher speeds with suicide or alcohol than from drugs in Montana, Nebraska, Dakotas, Oregon and Wyoming.

How States Pile Up

In addition to these deaths, the report looked at 44 other factors affecting a

Hawaii, Massachusetts, Minnesota, Washington, Connecticut and Vermont ranked highest (Connecticut and Vermont tied fifth in the rankings), While Arkansas, Nevada, Texas, Oklahoma and Mississippi received the lowest rankings.

What sets the top-ranked states apart from the lowest? Health Care Coverage.

"We really think about access to care to be the foundation of a high-performance health system," Radley said.

The states ranked at the bottom of the list all had the highest interest rates of residents without health care coverage.

"Without the ability to go to a doctor when you need it, you're far more likely to get sick in a way that puts you in the hospital with a manageable disease like diabetes," Radley added.

In 2017, five of the 17 states that had not extended access to Medicaid through the Affordable Care Act had the highest proportion of uninsured adults.

"The states' decision on whether to expand their Medicaid program screen had sharp implications for their uninsured interest rates," the authors wrote in their report.

Massachusetts, which extended Medicaid access and also provided other support to compensate for medical expenses, had the lowest percentage of uninsured adults in 2017, at 4 percent. Texas, which declined to expand the Medicaid asset, had the highest interest rate, by 24 percent.

But rising costs also affect people who have healthcare turnover, according to the report.

"Health care costs go up, and that leads to higher premiums. Higher premiums are passed on to employees," says Radley.

Get used to the rising drug prices, the study says

He pointed out that in Louisiana, for example, families work in average of 10 percent of their income on healthcare premiums. It is money spent for out-of-pocket expenses such as prescriptions and copays.

Other southern states followed similar trends. The average employee payout for health insurance was at least 8 percent of revenue In Nevada, Arizona, New Mexico, Texas, Oklahoma, Mississippi, Georgia, Florida, North Carolina and Delaware.

The report's author said there is evidence that the expansion of Medicaid access has had a positive impact even in the state leading the state in drug overdose mortality rates: West Virginia, the state expanded the Medicaid asset in 2014, paving the way for increased ill-treatment of drug abuse.

In fact, a study by Johns Hopkins University found the opioid abuse rate increased in West Virginians who became eligible for Medicaid after ACA was implemented. By 2016, three quarters of people with opioid dependence had prescribed a drug that is used to treat their dependence. It's up from less than a third just before West Virginia's expanded Medicaid.

Specific information from the state for the state can be found in the Commonwealth Fund's interactive tools.

If you or someone you know is in crisis, call the National Suicide Thinker Lifeline at 800-273-8255, text HEM to 741741 or visit SpeakingOfSuicide.com/resources for additional resources.


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